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目的 探讨小剂量肝素治疗肺源性心脏病 (肺心病 )引起的顽固性水肿及各种因素的相互作用。方法 观察组 :每日静脉滴注肝素 5 0～ 75mg,1 0～ 1 5天为一疗程。对照组为自身对照 (肝素治疗前用强心、利尿、血管活性药物无效患者 )。结果 2 0例患者中显效 6例 ,有效 1 1例 ,无效 3例 ,总有效率为 85 .0 % ;心功能指标心输出量 (CO)、心脏指数 (CI)、左室射血分数 (LVEF)有明显上升。结论 肝素治疗肺心病引起顽固性水肿有良好疗效 ;其安全性好 ,副作用少
Objective To investigate the effects of low-dose heparin on refractory edema caused by pulmonary heart disease (pulmonary heart disease) and various factors. Methods Observation group: daily intravenous heparin 50 ~ 75mg, 10 ~ 15 days for a course of treatment. Control group for their own control (heparin before treatment with cardiac, diuretic, vasoactive drug invalid patients). Results In 20 patients, 6 cases were markedly effective, 11 cases were effective and 3 cases were ineffective. The total effective rate was 85.0%. Cardiac output (CO), cardiac index (CI), left ventricular ejection fraction LVEF) increased significantly. Conclusion Heparin treatment of pulmonary heart disease caused by refractory edema has a good effect; its safety is good, less side effects